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WALGREEN EASTERN CO., INC.
CAH201311-00 DOWN EAST COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
DOWN EAST COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201311-00
Entity Address
11 HOSPITAL DRIVE
MACHIAS, ME 04654
Medicare Provider Number
201311
Participating Start Date
1/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #17455
223 NORTH ST
CALAIS, ME 04619
Pharmacy Comments
Contract Details
Approval Date
4/2/2018
Contract Begin Date
4/3/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lynnette Parr, CFO
(207) 255-0269
Contract Pharmacy Representative
Walgreens
Sally Minnick, 340B Implmentation Analyst
(847) 964-8012
Signed By Date
4/2/2018
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